Behavior and interpretation of the kappa statistic: Resolution of the two paradoxes

被引:236
作者
Lantz, CA [1 ]
Nebenzahl, E [1 ]
机构
[1] CALIF STATE UNIV HAYWARD,DEPT STAT,HAYWARD,CA 94542
关键词
characteristic values; kappa; marginals; observer agreement; paradoxes;
D O I
10.1016/0895-4356(95)00571-4
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Two apparent paradoxes have been identified for the kappa (kappa) statistic: (1) high levels of observer agreement with low kappa values; (2) lack of predictability of changes in kappa with changing marginals, The first paradox is a function of prevalence of the trait in the sample, while the second is related to symmetry of observations in the disagreement categories. While examining the behavior of kappa as a function of the distribution of responses in a contingency table, it was discovered that for any measured level of observer agreement (P-o) there ate three characteristic values of kappa: kappa(max), kappa(min), and kappa(nor), each of which is a function only of P-o The characteristic values allow an observed kappa (kappa(o)) to be placed into perspective, By observing symmetry in agreement and disagreement categories, the behavior of kappa is readily understood and predictable. We define symmetry expressions for agreement (S-A) and disagreement (S-D) in Order to represent. and quantify these effects. kappa alone has little interpretive value and we recommend that studies reporting kappa also report P-o, S-D, and p(++) (agreement on the presence of the trait).
引用
收藏
页码:431 / 434
页数:4
相关论文
共 11 条
[1]   BIAS, PREVALENCE AND KAPPA [J].
BYRT, T ;
BISHOP, J ;
CARLIN, JB .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 1993, 46 (05) :423-429
[2]   HIGH AGREEMENT BUT LOW KAPPA .2. RESOLVING THE PARADOXES [J].
CICCHETTI, DV ;
FEINSTEIN, AR .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 1990, 43 (06) :551-558
[3]   WHAT CAN THE HISTORY AND PHYSICAL-EXAMINATION TELL US ABOUT LOW-BACK-PAIN [J].
DEYO, RA ;
RAINVILLE, J ;
KENT, DL .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1992, 268 (06) :760-765
[4]   HIGH AGREEMENT BUT LOW KAPPA .1. THE PROBLEMS OF 2 PARADOXES [J].
FEINSTEIN, AR ;
CICCHETTI, DV .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 1990, 43 (06) :543-549
[5]  
FLEISS LJ, 1981, STAT METHODS RATES P, pCH13
[6]  
HAAS M, 1990, J MANIP PHYSIOL THER, V13, P179
[7]   A NOTE ON THE G-INDEX OF AGREEMENT [J].
HOLLEY, JW ;
GUILFORD, JP .
EDUCATIONAL AND PSYCHOLOGICAL MEASUREMENT, 1964, 24 (04) :749-753
[8]   COMPARISON OF SELF-REPORTED AND SURROGATE-REPORTED DIETARY INFORMATION [J].
HUMBLE, CG ;
SAMET, JM ;
SKIPPER, BE .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 1984, 119 (01) :86-98
[9]   KAPPA-COEFFICIENTS IN EPIDEMIOLOGY - AN APPRAISAL OF A REAPPRAISAL [J].
KRAEMER, HC ;
BLOCH, DA .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 1988, 41 (10) :959-968
[10]   COEFFICIENTS OF AGREEMENT BETWEEN OBSERVERS AND THEIR INTERPRETATION [J].
MAXWELL, AE .
BRITISH JOURNAL OF PSYCHIATRY, 1977, 130 (JAN) :79-83